Provider Demographics
NPI:1124568357
Name:SHEERAN, MEREWYN
Entity Type:Individual
Prefix:
First Name:MEREWYN
Middle Name:
Last Name:SHEERAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 PRINCE WILLIAM WAY
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3957
Mailing Address - Country:US
Mailing Address - Phone:267-864-8438
Mailing Address - Fax:
Practice Address - Street 1:241 PRINCE WILLIAM WAY
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3957
Practice Address - Country:US
Practice Address - Phone:267-864-8438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN335451L405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional